The SKOAP Study
1. Best Practices + Duloxetine: An oral medication that is used to improve pain and function in people with knee osteoarthritis. This also includes treatments that experts recommend for knee arthritis pain. These treatments can include pain relievers, structured exercise programs, weight management, or other non-invasive treatments such as acupuncture, yoga, and meditation.
2. Best Practices + Duloxetine + Online Coping Skills Training: In addition to the above, this treatment group will access an online tool that teaches people skills such as relaxation, replacing negative thoughts, and problem-solving to decrease and manage pain.
If eligible for the study, the 1st phase will require:
- Completion of an online questionnaire
- Attending 3 study visits, which can be done either remotely or in person
1. Joint Injection: Hyaluronic acid is a normal part of the fluid that helps cushion your joint. This fluid becomes thinner when you have osteoarthritis. The steroid and bupivacaine help numb the joint and decrease swelling in the knee joint.
2. Nerve Block: A long-acting agent injected into 3 or more nerves in the knee to stop pain signals to the nervous system. Ultrasound or fluoroscopy (a type of X-ray) is used to help guide the injections into the nerves.
3. Nerve Ablation: Radio frequency waves that heat or cool the nerve to destroy the nerve signaling pain in the knee.
If interested in the 2nd phase of the study, there are:
- An additional 4 visits, some of which can also be done remotely if preferred